Parkview Adventist Medical Center – Hospital in Brunswick, Maine

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Please note: Parkview Adventist Medical Center, located in Brunswick, Maine, officially advertises open positions on our own website, www.jobsinme.com, and select professional organizations' job boards. We assume no responsibility for information obtained via any other online source.

Financial Counselor/Prior Authorization Specialist
Department: Oncology
Job Type: Full-time
Posting Date: 05/22/15
Description: Full time position available, 40 hours per week (8:30am to 5:00pm shift). The Financial Counselor/Prior Authorization Specialist is responsible for conducting insurance benefit investigations for all new and existing Oncology/Hematology patients. Meets with patients to review and explain benefits based on plan coverage. Assists patients with obtaining access to co-pay assistance funds as appropriate. Refers patients to social worker for assistance in filing for disability as appropriate. Assists patients with billing questions, concerns and complaints. Responsible for obtaining insurance prior authorizations for diagnostic procedures, medications and other services. Works closely with Oncology/Hematology, Pharmacy, Coding, Billing, and Patient Financial Services to develop systems that ensure that revenue is captured appropriately. Must be able to multi-task and adjust priorities quickly in a fast paced work setting. Provides back up for PSR├????├???├??├?┬ó??s as necessary. Associates degree required. Bachelor├????├???├??├?┬ó??s degree preferred. Must have a minimum of 2 years work experience in a Physician Practice. Experience with insurance verification/prior authorizations/billing/coding is required. Experience with financial counseling is required. Previous managed care experience is preferred. Must have knowledge of ICD-9 and CPT coding guidelines. Must have excellent customer service skills.

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